Jerome Surmenian is a Periodontics in Boston, Massachusetts. Jerome Surmenian practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jerome Surmenian is 1104080985. The last update date is 2008-07-11.
Jerome Surmenian's current location address is 100 East Newton Street, Boston, Massachusetts. You can contact this provider via phone number 6176384750. The mailing address for Jerome Surmenian is 100 East Newton Street, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerome Surmenian |
|---|---|
| Address | 100 East Newton Street, Boston, Massachusetts |
| Phone Number | 6176384750 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1104080985 |
|---|---|
| Provider Enumeration Date | 2008-07-11 |
| Last Updated Date | 2008-07-11 |
Provider Mailing Address Detail
| Address | 100 East Newton Street |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 2118 |
| Phone Number | 6176384750 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 9748 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique 10-digit identification code assigned to Jerome Surmenian by the Centers for Medicare & Medicaid Services?
The Jerome Surmenian has been issued the NPI (National Provider Identifier) 1104080985, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Jerome Surmenian?
The Jerome Surmenian is physically situated at 100 East Newton Street, in the city of Boston, state of MA, with the postal code 2118.
What is the Jerome Surmenian's area of specialization and corresponding taxonomy classification?
The Jerome Surmenian's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
When was the Jerome Surmenian's 1104080985 issued?
The Jerome Surmenian's 1104080985 was issued on 2008-07-11.
As of what date were the Jerome Surmenian's details last updated?
The information pertaining to the Jerome Surmenian, including its address, specialty, and other details, was most recently updated on 2008-07-11.